Completed Form 4844, Request for Terminal Action, for tax year 2010 affected by the identity theft with the following information filled in: SSN - XXX-XX-XXXX, Name control - XXXX, MFT code - 00, Periods - 0000, Name of taxpayer - XXXXXXX XXXXXXX, Remarks- Input TC 972 AC 522 under ENMOD, Identity Theft Action Code - TC 972 AC 522, Miscellaneous Field Input – SBSE CFBALDUE NOIDT, Secondary Date Field- 12312010